go back

North Dakota rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.52 / $858.52 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.52 / $1,053.18 / $2,575.56